03D2114347 CLIA NUMBER - DHMG PV PRIMARY CARE & WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 03D2114347
  • Facility Name: DHMG PV PRIMARY CARE & WOMEN'S HEALTH
  • Facility Address: 10214 N TATUM BLVD, STE A600
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 602 406-4394
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: POOJA SHAH

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CLIA Record

Field Name Field Value
CLIA Number 03D2114347
LAB Type Community Clinic
Facility Name DHMG PV PRIMARY CARE & WOMEN'S HEALTH
Street 10214 N TATUM BLVD, STE A600
City PHOENIX
State AZ
ZIP 85028
Phone 602 406-4394
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Community Clinic
Lab Director POOJA SHAH

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This page was last updated on: 3/20/2025